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<title>填写您的意向表</title>
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<script language="javascript" type="text/javascript" src="/statics/js/formvalidatorregex.js" charset="UTF-8"></script>
<script type="text/javascript">
$(function(){
	$.formValidator.initConfig({autotip:true,formid:"feedback_form",onerror:function(msg){}});
	$("#name").formValidator({onshow:"请输入您的姓名",onfocus:"您的姓名不能留空。",oncorrect:""}).inputValidator({min:1,max:20,onerror:"您的姓名不能留空。"});
	$("#gender").formValidator({onshow:"请选择您的性别",onfocus:"请选择您的性别",oncorrect:""}).inputValidator({min:1,onerror:"请选择您的性别"});
	$("#contact").formValidator({onshow:"请输入您的联系方式",onfocus:"您的联系方式不能为空。",oncorrect:""}).inputValidator({min:1,onerror:"您的联系方式不能为空"});
	$("#contact_time").formValidator({onshow:"请您与我们约定一下联系的时间",onfocus:"请您与我们约定一下联系的时间",oncorrect:""}).inputValidator({min:1,onerror:"请您与我们约定一下联系的时间"});
});
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<body>
<div class="bd">
<form id="feedback_form" action="/index.php?m=feedback&c=index" method="post">
<input type="hidden" name="action" value="do" />
<h2> 我们承诺您的资料是保密的 </h2>
    <dl>
        <dt>姓名(必填)</dt>
        <dd class="textfield">
        <input name="name" id="name" type="text" style="width:170px;" maxlength="20" />
        </dd>
    </dl>
    <dl>
        <dt>先生/小姐</dt>
        <dd class="textfield">
            <select name="gender" id="gender" style="width:80px;">
            <option value="0">选择</option>
            <option value="1">先生</option>
            <option value="2">女士</option>
            </select>
        </dd>
    </dl>
    <dl>
        <dt>电话/手机(必填))</dt>
        <dd class="textfield"><input name="contact" id="contact" type="text" style="width:170px;" maxlength="30" /></dd>
    </dl>
    <dl>
        <dt>您在何时方便接听我们的来电</dt>
        <dd class="textfield">
        <select name="contact_time" id="contact_time" style="width:100px;">
        <option value="0">选择</option>
        <option value="1">随时</option>
        <option value="2">上午9点-11点</option>
        <option value="3">下午2点-5点</option>
        <option value="4">周末</option>
        </select>
        </dd>
    </dl>
    <div style="border-bottom:1px dashed #ccc; margin:15px 0; clear:both;"></div>
    <h2>接下来您可以完善需求信息，我们就能更好的为您提供服务</h2>
    <dl>
        <dt>房屋类型</dt>
        <dd class="textfield">
      	<select name="roomid"  style="width:80px;">
        	<option value="0">选择</option>
	    	<option value="1">平层</option>
	   	    <option value="2">复式</option>
	    	<option value="3">别墅</option>
         </select>
        </dd>
    </dl>
    <dl>
        <dt>房屋面积</dt>
        <dd class="textfield"><input name="area" type="text" style="width:170px;" maxlength="10" /></dd>
    </dl>
    <dl>
        <dt>您的职业</dt>
        <dd class="textfield"><input name="job" type="text" style="width:170px;" maxlength="30" /></dd>
    </dl>
    <dl>
        <dt>房屋所在位置(小区名/地址)</dt>
        <dd class="textfield"><input name="address" type="text" style="width:370px;" maxlength="120" /></dd>
    </dl>
    <div style="border-bottom:1px dashed #ccc; margin:15px 0; clear:both;"></div>
    <dl style="height:100px;">
    	<dt>倾向风格</dt>
        <dd class="checkbox1">
            <label><input name="style[]" value="1" type="checkbox" id="style[]">现代简约风格</label>
            <label><input name="style[]" value="2" type="checkbox" id="style[]">欧式风格</label>
            <label><input name="style[]" value="3" type="checkbox" id="style[]">中式风格</label>
            <label><input name="style[]" value="4" type="checkbox" id="style[]">田园风格</label>
            <label><input name="style[]" value="5" type="checkbox" id="style[]">新古典风格</label>
            <label><input name="style[]" value="6" type="checkbox" id="style[]">混搭风格</label>
            <label><input name="style[]" value="7" type="checkbox" id="style[]">个性风格</label>
        </dd>
    </dl>
    <dl>
        <dt>其他风格</dt>
        <dd class="textfield"><input name="style_other" type="text" maxlength="100" /></dd>
    </dl>
    <div style="border-bottom:1px dashed #ccc; margin:15px 0; clear:both;"></div>
    <dl>
        <dt>宗教信仰</dt>
        <dd class="textfield"><input name="religion" type="text" style="width:370px;" maxlength="20" /></dd>
    </dl>
    <dl>
        <dt>其他要求</dt>
        <dd class="textfield"><textarea name="requirements" style="width:370px; height:100px; margin-bottom:10px; overflow: auto;" rows="10"></textarea></dd>
    </dl>
    <dl style="display:none;">
		<dt>&nbsp;&nbsp;</dt>
		<dd style="padding-bottom:30px;"><input type="submit" id="dosubmit" class="submit" value=""/></dd>
    </dl>
    <div style="height:10px;clear:both;"></div>
</form>
</div>
</body>
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